Individual provider · Type 1 NPI

Mary Watzka Lagaard, RN, CNP

Gerontology Nurse Practitioner · Minnetonka, MN

NPI number 1992734826 Active

Practice location

9701 Data Park, MN006-W600
Minnetonka, MN 55343-9026

Fax (888) 866-3209

Mailing address

600 313th Ln NE
Cambridge, MN 55008-6869

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR093850-9 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1992734826

Mary Watzka Lagaard, RN, CNP's National Provider Identifier is 1992734826, issued on Jul 2, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minnetonka, MN. The record was last updated on Jul 5, 2009.